phentermine prescribing guidelines florida

Chapter 893 Section 04 - 2012 Florida Statutes - The Florida Senate Of course, it is taken orally. Notwithstanding subsection (1), a pharmacist may dispense a one-time emergency refill of up to a 72-hour supply of the prescribed medication for any medicinal drug other than a medicinal drug listed in Schedule II, in compliance with the provisions of s. The legal owner of any stock of controlled substances in a pharmacy, upon discontinuance of dealing in controlled substances, may sell said stock to a manufacturer, wholesaler, or pharmacy. The Board of Medicine shall adopt rules to establish practice guidelines for physicians to safely prescribe phentermine, fenfluramine, and other drugs used to treat obesity. After 12 weeks, the patient needs to take a break from the product as it may lead to physical dependence. The FDA in the United States first approved the use of Amphetamine as a drug that can be used to suppress a patients appetite in 1959. Obesity has been linked to many different diseases, including type 2 diabetes and cardiovascular disease. A total of 24 patients developed heart valve disease while taking this drug, which led the FDA to withdraw the product from the market in 1997. 458.336 Drugs to treat obesity; rules establishing guidelines.. - 7 Tachyphylaxis and tolerance have been demonstrated with all drugs of this class in which these phenomena have been looked for. Advertising revenue supports our not-for-profit mission. This content does not have an English version. CIV The possibility of abuse of Phentermine should be kept in mind when evaluating the desirability of including a drug as part of a weight reduction program. Pursuant to Board of Medical Examiners Rule 540-X-4-.05, dispensing physicians are required to register with the Board. Patients must be instructed on how much Phentermine to take, and when and how to take it [see Dosage and Administration (2)]. To avoid trouble with sleeping, take the last dose of the day about 4 to 6 hours before bedtime, unless your doctor tells you otherwise. In some cases, the side effects were life-threatening and led to the death of a patient. The drug is also available in regular capsules that are taken orally with a glass of water. These rules and statutes . 0000000828 00000 n s. 4, ch. The overdose symptoms include: The side effects of Phentermine can lead to several symptoms that may impair certain functions in the patients body. Phentermine for weight loss - Mayo Clinic include protected health information. W0Qxe {>x??}# cGCSGGC[G(P A@3'i~ (2[n! information is beneficial, we may combine your email and website usage information with Phentermine is a schedule IV medication (only available by prescription) frequently used for generalized weight loss by acting as an appetite suppressant. It is an appetite suppressant with the added ability to help the body produce more energy from fat cells. The PDMP was created in the 2009 session of the Florida legislature to encourage safer prescribing of controlled substances and reduce drug abuse and diversion within the state. Phentermine should never be taken after 6 pm in the afternoon as it causes insomnia. The combined drug is approved for long-term use. information highlighted below and resubmit the form. Children 16 years of age and youngerUse is not recommended. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Some of the most common withdrawal symptoms include weight gain, fatigue, insomnia and a bad mood. Florida has received national attention for the large num- The initials of the pharmacist filling the prescription and the date filled. Any pharmacist who dispenses by mail a controlled substance listed in Schedule II, Schedule III, or Schedule IV is exempt from the requirement to obtain suitable identification for the prescription dispensed by mail if the pharmacist has obtained the patients identification through the patients prescription benefit plan. 0 The possible role of Phentermine in the etiology of these valvulopathies has not been established and their course in individuals after the drugs are stopped is not known. The amount of weight loss associated with the use of an anorectic drug varies from trial to trial, and the increased weight loss appears to be related in part to variables other than the drugs prescribed, such as the physician-investigator, the population treated and the diet prescribed. Phentermine is a popular prescription drug that is often used to treat obesity. In order to determine the effectiveness of certain pharmaceuticals, supplements and other substances, clinical trials and scientific research are often conducted among a group of volunteers. The possibility of an association between PPH and the use of Phentermine alone cannot be ruled out; there have been rare cases of PPH in patients who reportedly have taken Phentermine alone. When mental impairment is present while taking Phentermine, a patient is also advised not to drive to avoid the risk of being involved in an accident. Copyright: Merative US L.P. 1973, 2023. Like other weight-loss medicines ordered by providers, phentermine is meant to be only part of a weight-loss plan. Drug classes: Anorexiants, CNS stimulants. Phentermine - Henry Meds Phentermine is one of the most effective prescription weight loss medications, with FDA approval since 1959. The possible origins of the increased weight loss due to the various drug effects are not established. https://www.uptodate.com/contents/search. A pharmacist may not dispense a controlled substance listed in Schedule II, Schedule III, or Schedule IV to any patient or patients agent without first determining, in the exercise of her or his professional judgment, that the order is valid. If the prescriber is not available to verify a prescription, the pharmacist may dispense the controlled substance but may insist that the person to whom the controlled substance is dispensed provide valid photographic identification. 0000000909 00000 n See DrugAbuse and Dependence (9.3). Many patients find that if their doctor gradually lowers their dose, for example from 37.5mg per day down to 15mg per day for the last few days, they experience fewer withdrawal symptoms and are able to keep the weight off later. endstream endobj 1531 0 obj <>/Metadata 26 0 R/Pages 1528 0 R/StructTreeRoot 41 0 R/Type/Catalog>> endobj 1532 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/TrimBox[0.0 0.0 630.0 702.0]/Type/Page>> endobj 1533 0 obj <>stream Adults and children 17 years of age and older15 to 30 milligrams (mg) once a day, taken at approximately 2 hours after breakfast. Phentermine is not recommended for use in pediatric patients 16 years of age. Another important fact to consider before taking Phentermine is that it should never be used by women who are pregnant or who are currently breastfeeding. If the drug is taken too late in the day, it may also cause insomnia. All rights reserved. The following adverse reactions are described, or described in greater detail, in other sections: The following adverse reactions to Phentermine have been identified: Primary pulmonary hypertension and/or regurgitant cardiac valvular disease, palpitation, tachycardia, elevation of blood pressure, ischemic events. 2019; doi:10.1016/j.mayocp.2018.11.020. Follow your doctor's dosing instructions very carefully. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Adjust dosage according to individual response and tolerance; use the smallest dosage required to produce the desired response. However, it caused a chronic condition known as pulmonary hypertension, which led to the death of many patients. Primary Pulmonary Hypertension (PPH) a rare, frequently fatal disease of the lungs has been reported to occur in patients receiving a combination of Phentermine with fenfluramine or dexfenfluramine. Phentermine hydrochloride USP is a sympathomimetic amine anorectic. Long-term efficacy and safety of anti-obesity treatment: Where do we stand? It can help weight loss by making you less hungry. Amphetamines and other stimulant drugs have been extensively abused and the possibility of abuse of Phentermine should be kept in mind when evaluating the desirability of including a drug as part of a weight reduction program. Pharmacist and practitioner. The natural history of obesity is measured over several years, whereas the studies cited are restricted to a few weeks duration; thus, the total impact of drug-induced weight loss over that of diet alone must be considered clinically limited. 21 0 obj <> endobj Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss. health information, we will treat all of that information as protected health Dosage form: tablet To provide you with the most relevant and helpful information, and understand which All rights reserved. Children 15 years of age and youngerUse is not recommended. Portions of this document last updated: Feb. 01, 2023. The written prescription must be dated and signed by the prescribing practitioner on the day when issued. This medication has been linked to physical dependence, which means a patient may become addicted to it. This search engine indexes the Drug Enforcement Administration Diversion Control Program Web Site (www.deadiversion.usdoj.gov) only. 99-8; s. 2, ch. For a more comprehensive list of drug and nutraceuticals which interact with phentermine hydrochloride, refer to our phentermine drug interactions data. The dosage varies from 15mg to 37.5mg per day. Follow your doctor's orders or the directions on the label. The amount of medicine that you take depends on the strength of the medicine. . It should also not be taken within 14 days after taking an MAO inhibitor. Some brands use a dissolving tablet that is placed under the tongue, which allows the body to absorb the chemicals in the drug faster. 188, ch. information and will only use or disclose that information as set forth in our notice of In 1968, three years after its release, Aminorex was withdrawn. Experience with hemodialysis or peritoneal dialysis is inadequate to permit recommendations in this regard. (In combination with a healthy diet and exercise plan). Management of acute Phentermine hydrochloride intoxication is largely symptomatic and includes lavage and sedation with a barbiturate. Tak YJ, et al. Schedule. This documentation contains information regarding prescribing in Florida and is an effort to highlight Florida laws and rules related to prescribing in one doc ument. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. House Bill 831 (2019), Electronic Prescribing, was signed into law by Governor DeSantis. %%EOF The Board of Medicine shall adopt rules to establish practice guidelines for physicians to safely prescribe phentermine, fenfluramine, and other drugs used to treat obesity. Tell patients to keep Phentermine in a safe place to prevent theft, accidental overdose, misuse or abuse. The drug is classified under a certain chemical class known as amphetamine as it has a similar pharmacology value to other drugs classified in the class. Phentermine may decrease the hypotensive effect of adrenergic neuron blocking drugs. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. When breastfeeding, the drug may enter the breast milk and travel into the nursing babys body, which may cause harm to them. Phentermine is related chemically and pharmacologically to the amphetamines. Dryness of the mouth, unpleasant taste, diarrhea, constipation, other gastrointestinal disturbances. This website is a resource which lists doctors and clinics who may offer phentermine or appetite suppressants for patients they deem qualified. For example, it can be be used with healthy eating, physical activity and behavior change. Search: phentermine guidelines - United States Department of Justice While this drug may sound like a wonder pill, patients should ensure they know are familiar with the precautions, interactions, side effects and other important details before they start taking it. Patients are advised to report any symptoms or diseases they may have before the doctor prescribes the drug this may include high blood pressure and kidney problems, as well as any type of diabetes and thyroid disorders. HVMs8WQl eLg*&{dd $_;lm |NggK6,M]gu\.BNB. The pharmacist may dispense the controlled substance, in the exercise of her or his professional judgment, when the pharmacist or pharmacists agent has obtained satisfactory patient information from the patient or the patients agent. Phentermine Hydrochloride Tablets are indicated as a short-term (a few weeks) adjunct in a regimen of weight reduction based on exercise, behavioral modification and caloric restriction in the management of exogenous obesity for patients with an initial body mass index 30 kg/m2, or 27 kg/m2 in the presence of other risk factors (e.g., controlled hypertension, diabetes, hyperlipidemia). Adults Exogenous Obesity Oral. information and will only use or disclose that information as set forth in our notice of The dosage may be adjusted to the patients need. How to Get a Prescription for Phentermine - Phentermine.com Phentermine is related chemically and pharmacologically to amphetamine (d- and dll-amphetamine) and other related stimulant drugs have been extensively abused. The first use of Phentermine as a drug to help treat obesity dates back to 1938. https://www.micromedexsolutions.com. Dispense in a tight container as defined in the USP, with a child-resistant closure (as required). Phentermine (Adipex-P, Lomaira) is a prescription medicine used to lessen appetite. As mentioned above, new mothers should avoid using this medication when breastfeeding. 90-2; s. 1436, ch. All rights reserved. Average users lose 3-5% of their initial body weight as shown in studies. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. %%EOF Copyright 2000- 2023 State of Florida. 2020; doi:10.4093/dmj.2020.0258. It has the chemical name of ,,-Dimethylphenethylamine hydrochloride. Late evening medication should be avoided because of the possibility of resulting insomnia. The directions for the use of the controlled substance prescribed in the prescription. Following the administration of Phentermine, Phentermine reaches peak concentrations (Cmax) after 3 to 4.4 hours. Ask your healthcare professional how you should dispose of any medicine you do not use. If the doctor finds that the patient is a good candidate for Phentermine, they may prescribe a certain dose and provide specific details on dosage and lifestyle choices that should accompany the use of this medicine. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Also, it may cause certain side effects to become much worse. Statutes, Video Broadcast the unsubscribe link in the e-mail. JC. The recommended maximum dosage of Phentermine is 15 mg daily for patients with severe renal impairment (eGFR 15 to 29 mL/min/1.73m2). If a patient would like to take other supplements, they should consult their doctor first. "@Hw4`tqCA\+ q [AF]` b L ! Prescribing controlled substances via telehealth - HHS.gov endstream endobj 108 0 obj <>stream PDF Prescribing Information - Qsymia (Phentermine and Topiramate extended The Topamax is added to Phentermine in order to intensify its effects and to help patients lose weight faster. Phentermine is a Schedule IV controlled substance. Instead of simply quitting the program, a patient should rather consult a healthcare provider about quitting. NDC 42806-810-01 97-102; s. 301, ch. You may opt-out of email communications at any time by clicking on It helps patients lose weight by suppressing their appetite and boosting their energy levels, thus leading to a more active lifestyle and greater calorie burn. Gastrointestinal symptoms include nausea, vomiting, diarrhea and abdominal cramps. 79-12; s. 2, ch. If your dose is different, do not change it unless your doctor tells you to do so. Phentermine has been linked to many complications; knowing these details will help patients minimize their risk of experiencing such unwanted scenarios. The number of the prescription, as recorded in the prescription files of the pharmacy in which it is filled. Store at 20 to 25C (68 to 77F) [See USP Controlled Room Temperature]. |. Phentermine HCl Tablets, USP 37.5 mg Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Pharmacists may order the medicinal drug products set forth in each rule subject to the following terms and limitations: . Statutes, Video Broadcast The Administration's plan is to end the COVID-19 public health emergency on May 11, 2023. Some patients need to take the drug an hour before they eat breakfast, while others are advised to take it approximately one to two hours after breakfast. Phentermine. Requirements may be altered [see Warnings and Precautions (5.9)]. Taking Phentermine depends on the brand and preparation of the drug. FULL PRESCRIBING of the risk of hypertensive crisis. But it isn't a good choice for people with heart disease, high blood pressure, an overactive thyroid gland or glaucoma. Avoid use of Phentermine in patients with eGFR less than 15 mL/min/1.73m2 or end-stage renal disease requiring dialysis [see Use in Specific Populations (8.6) and Clinical Pharmacology (12.3)]. Drugs to treat obesity; rules establishing guidelines. Phentermine is contraindicated during pregnancy because weight loss offers no potential benefit to a pregnant woman and may result in fetal harm. (phentermine hydrochloride) orally disintegrating tablet C IV . 21 15 The Board of Medicine shall adopt rules to establish practice guidelines for physicians to safely prescribe phentermine, fenfluramine, and other drugs used to treat obesity. Therefore, coadministration of Phentermine and these drug products is not recommended. Systemic exposure of Phentermine may increase up to 91%, 45%, and 22% in patients with severe, moderate, and mild renal impairment, respectively [see Dosage and Administration (2.2) and Use in Specific Populations (8.6)]. This bill allows ARNPs and PAs to prescribe controlled substances under existing supervision and protocol requirements, and subject to a formulary to be developed by a committee under the Board of Nursing.
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